| NPI | 1174264824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11019068) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL 9256983) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2023-05-01 |